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Residual surface veins may need extra treatment."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"After post-procedure duplex check excludes thrombus extension; walking during flight and compression stockings advised; longer if high thrombotic risk."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":1,"max":3,"unit":"days","qualifier":"Duplex ultrasound check for vein occlusion and exclusion of thrombus extension before flying home."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":180,"unit":"days","qualifier":"Later clinical and ultrasound review of occlusion and symptoms; can be done locally."}}],"indications":["Symptomatic varicose veins due to great saphenous vein reflux","Small saphenous vein incompetence with reflux","Chronic venous insufficiency with heaviness, swelling, aching or skin changes","Venous ulcer or lipodermatosclerosis associated with truncal reflux"],"main_risks":["Bruising, tightness and pain along the treated vein","Superficial phlebitis","Skin burns or hyperpigmentation","Paresthesia from thermal nerve injury (especially lower leg)","Deep vein thrombosis or endothermal heat-induced thrombosis (uncommon)","Recanalization or recurrence of reflux","Residual varicosities needing further treatment","Infection (rare)"],"pain":"Mild to moderate discomfort during tumescent anesthetic injection; afterward typically mild soreness and tightness along the vein, managed with simple analgesics.","preparation":["Duplex ultrasound vein mapping to confirm reflux and anatomy","Review medical history, thrombotic risk and medications with physician","Shave or clean the leg area","Wear loose clothing; bring compression stockings","Arrange for transport home if mild sedative is used"],"recovery_timeline":[{"phase":"Day 0","description":"Compression bandage or stocking applied; walking immediately after procedure.","restrictions":["Avoid prolonged standing or sitting"]},{"phase":"Days 1-14","description":"Compression stockings worn as advised; mild tightness and bruising along the vein; return to normal light activity.","restrictions":["Avoid strenuous exercise and heavy lifting","Avoid hot baths and saunas initially"]},{"phase":"Weeks 2-6","description":"Bruising and tenderness gradually resolve; normal activity resumed.","restrictions":[]},{"phase":"1-3 months","description":"Follow-up ultrasound confirms occlusion; any residual veins addressed if needed.","restrictions":[]}],"rehabilitation_days":{"min":3,"max":7,"unit":"days","qualifier":"Ordinary functional recovery to normal daily activities after a single-vein procedure; no formal rehabilitation needed."},"result_longevity":"Occlusion of the treated truncal vein is generally durable, but new varicose veins can develop over time because venous disease is chronic; recurrence risk varies by patient.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Repeat ablation or further treatment of recanalized or residual truncal vein within about 5 years."},"scars":"No surgical incision; only a tiny needle puncture at the catheter entry site that usually heals without a noticeable scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Usually a single treatment session for one truncal vein; additional sessions (e.g., adjunct sclerotherapy) are separate and optional."},"stages":[{"code":"evla_treatment","label":"Endovenous laser ablation of the target vein under ultrasound guidance","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial session."}}],"qualifier":"Follow-up ultrasound checks are routine care and not counted as treatment stages."},"success":{"metric":"Target vein occlusion rate","value":94,"unit":"percent","horizon":"1 year","population":"Adults with symptomatic great saphenous vein reflux treated with EVLA","evidence_status":"proven"},"techniques":[{"name":"Bare-tip fiber EVLA with tumescent anesthesia","suits_whom":"Adults with symptomatic great or small saphenous reflux and a vein suitable for catheter access.","recovery":"Walking immediately; light activity in 1-3 days; compression for about 1-2 weeks."},{"name":"Radial fiber EVLA (1470 nm) with tumescent anesthesia","suits_whom":"Adults wanting less bruising and pain; suits straight, moderately sized saphenous trunks.","recovery":"Walking immediately; light activity in 1-3 days; compression for about 1-2 weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"For one treated truncal vein (unilateral); bilateral or additional procedures take longer."},"initial_assessment_documents":["Lower limb venous duplex ultrasound report","Recent photos of legs, standing, front and back","Current medication list including blood thinners","Previous deep vein thrombosis or vein treatment records"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single outpatient session; stay about 1-3 days including the post-procedure duplex check. Later reviews can be done locally."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the specialist explains which treatment may be best for you, and the benefits and risks","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/varicose-veins/","host":"nhs.uk","quote":"The specialist will explain which treatment may be best for you, and the benefits and risks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that a duplex ultrasound scan confirms your varicose veins and plans your treatment","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/varicose-veins/","host":"nhs.uk","quote":"If you're referred to a specialist they'll usually do a test called duplex ultrasound to confirm if you have varicose veins and plan your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm the surgeon is trained and experienced in the exact 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